EMILY GANNAWAY, LLC (NPI# 1114479250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114479250 |
| Entity Type | Organization |
| Organization Name | EMILY GANNAWAY, LLC |
| Practice Address |
17933 Nw Evergreen Pkwy Suite 285 Beaverton OR 97006-7659 |
| Mailing Address |
1507 9th St Apt 12 Oregon City OR 97045-2073 |
| Practice Telephone | 5038289265 |
| Mailing Telephone | 2012132112 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | EMILY GANNAWAY (NATUROPATHIC DOCTOR/PCP) |
| Authorized Official Telephone | 2012132112 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 3092 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EMILY GANNAWAY, LLC | 17933 Nw Evergreen Place Ste 285, Beaverton, OR 97006 |
| Street Address |
17933 NW EVERGREEN PKWY SUITE 285 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457692444 | Medipro Direct Slim, LLC | Naturopath | 17933 Nw Evergreen Pkwy, Suite 220, Beaverton, OR 97006-7659 | 2013-03-15 |
| 1396270757 | Sandra Tressa Osterberg | Chiropractor | 17933 Nw Evergreen Pkwy, Suite 285, Beaverton, OR 97006-7659 | 2017-04-24 |
| 1891230082 | Eric Sean Beggs | Massage Therapist | 17933 Nw Evergreen Pkwy, Suite 285, Beaverton, OR 97006-7659 | 2016-12-27 |
| 1912397308 | Hilary Sandell | Acupuncturist | 17933 Nw Evergreen Pkwy, Suite 220, Beaverton, OR 97006-7659 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821507 | Ace Integartive Clinic, Inc | Naturopath | 14455 Sw Allen Blvd Ste 101, Beaverton, OR 97005-4428 | 2020-08-10 |
| 1952963225 | Nazanin Safaei | Naturopath | 14645 Sw Beard Rd Unit 103, Beaverton, OR 97007-9131 | 2019-07-07 |
| 1619486214 | Laura Michelle Rogers | Naturopath | 17933 Nw Evergreen Pl Ste 285, Beaverton, OR 97006-7532 | 2017-09-26 |
| 1487196598 | Timothy Floyd Pfankuch | Naturopath | 1975 Nw 167th Pl Ste 100-18, Beaverton, OR 97006-4908 | 2016-11-08 |
| 1366992182 | Terrance Manning II | Naturopath | 9925 Sw Nimbus Ave Ste 100, Beaverton, OR 97008-7591 | 2016-10-04 |
| 1265888986 | Emily C Gannaway | Naturopath | 17933 Nw Evergreen Pkwy Ste 220, Beaverton, OR 97006-7660 | 2016-05-11 |
| 1265804652 | Jason Derico | Naturopath | 4757 Sw 141st Ave, Beaverton, OR 97005-3750 | 2015-10-23 |
| 1457692444 | Medipro Direct Slim, LLC | Naturopath | 17933 Nw Evergreen Pkwy, Suite 220, Beaverton, OR 97006-7659 | 2013-03-15 |
| 1750657409 | Karla Goodman | Naturopath | 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 | 2012-03-27 |
| 1437429537 | Robin Lynn Sielaff | Naturopath | 7566 Sw Cresmoor Dr, Beaverton, OR 97008-5839 | 2012-01-05 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.